Immigration N-400 Form

IMMIGRATION N-400 APPLICATION FOR NATURALIZATION

Applicant Name:    Alien Registration Number (A-Number):

USCIS Receipt Number:    Date of Birth:

RECITALS

WHEREAS, Applicant named above seeks to apply for naturalization under the Immigration and Nationality Act and requests determination of eligibility to become a naturalized citizen of the United States; and

WHEREAS, Applicant attests that the statements and responses contained in this application and any attachments are true, complete, and correct to the best of Applicant's knowledge, and understands that willful misrepresentation may subject Applicant to civil and criminal penalties; and

WHEREAS, Applicant acknowledges the obligation to supply supporting documentation, attend required interviews, and comply with requests for evidence as may be necessary to adjudicate this application.

NOW THEREFORE, Applicant submits this Application for Naturalization (Form N-400) and declares under penalty of perjury the following information and certifications.

1. DECLARATIONS OF ELIGIBILITY

Applicant affirms that Applicant is at least 18 years of age and seeks naturalization based on one of the following eligibility categories (select all that apply):

5-year lawful permanent resident continuous residence and physical presence requirement
3-year spouse of a U.S. citizen with qualifying marital residence
Military service during qualifying period entitling to special naturalization provisions

2. RESIDENCE AND TRAVEL

Date applicant became a lawful permanent resident:

3. EMPLOYMENT AND RESIDENCE HISTORY

4. MORAL CHARACTER AND BACKGROUND

Have you ever been arrested, charged, or convicted of a crime?   Yes   No

Are you the subject of any ongoing investigations, deportation proceedings, or removal actions?   Yes   No

5. ALLEGIANCE AND OATH

Applicant affirms that Applicant is willing to take the Oath of Allegiance to the United States and renounce allegiance to any foreign state or sovereignty, subject to statutory exceptions where applicable.

Applicant acknowledges that willful false statements or concealment of material facts in this application may constitute grounds for denial, denial of benefits, or prosecution under applicable law.

6. DOCUMENTS AND ATTACHMENTS

Applicant must submit with this application copies of evidence of lawful permanent resident status, photographs if required, marriage certificates or proof of spouse's citizenship (if claiming 3-year rule), and documentation supporting any affirmative answers in Section 4.

7. NOTICES, AMENDMENTS, AND WAIVER

Notices and communications regarding this application shall be given to the address provided above unless Applicant supplies written notice of change. Applicant agrees to promptly notify the adjudicating authority of any material change in address, circumstances, or eligibility.

No amendment or waiver of any provision of this application shall be effective unless made in writing and signed by Applicant or as otherwise permitted by law. Failure to provide requested evidence may result in denial.

8. GOVERNING LAW; ENTIRE AGREEMENT; SEVERABILITY

Governing Law: This application is governed by the Immigration and Nationality Act, federal regulations, and applicable case law. To the extent state law may apply to procedural matters, such law shall apply only as permitted under federal supremacy.

Entire Agreement: Applicant's signatures and the contents of this application (including attachments) constitute the entire statement of facts and claims for relief made by Applicant in support of naturalization and supersede any prior oral or written representations concerning the matters herein.

Severability: If any provision of this application is determined to be invalid or unenforceable, the remaining provisions shall remain in full force and effect to the maximum extent permitted by law.

9. CERTIFICATION UNDER PENALTY OF PERJURY

I certify, under penalty of perjury under the laws of the United States of America, that the information I have provided in this application and on any supporting documents is complete, true, and correct. I understand that knowingly and willfully falsifying or concealing a material fact may subject me to criminal prosecution.

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